Kelsey-Seybold Insurance Verifier (ASC) in Pearland, Texas

AMBULATORY SURGERY CENTER INSURANCE VERIFIER

Location: Pearland Administrative Office

Department: Bus Ofc - (ASC)

Job Type: Full-Time

COMPANY PROFILE

Kelsey-Seybold Clinic. Your Doctors for Life.

Kelsey-Seybold Clinic is Houston’s premier multispecialty group practice, founded in 1949 by Dr. Mavis Kelsey. With 19 clinic locations and more than 400 physicians, Kelsey-Seybold provides medical care in 55 medical specialties and is home to a nationally accredited Breast Diagnostic Center, Endoscopy Center, Infusion Center and Cancer Center. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.

JOB SUMMARY

Under the general direction of the ASC Business Office Manager, the ASC Insurance Verifier verifies patients’ insurance eligibility, benefits, requirements specifically related to the service scheduled. Determines patient co-payments and calculates co-insurance and deductibles for both facility and professional services. Fully utilizes the practice management system’s eligibility media, payer on-line portals, telephone IVR, and person to person contact to most efficiently obtain pertinent information. Responsible for communicating with the clinic and/or patient, any information that will be needed prior to or during the patients visit. Meets productivity and quality standards.

EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

(A = basics; B = preferred)

Education

A.

High School Diploma or GED

B.

Some College

Experience

A.

1-2 years’ experience in a fast paced medical office or facility setting with patient registration, appointment scheduling or medical billing experience. 1-2 years’ experience with medical insurance verification. Knowledge of managed care. Good customer skills.

B.

3 years’ experience in a fast paced medical office or facility setting with patient registration, appointment scheduling or medical billing experience. 3 years’ experience with medical insurance verification and authorizations. Comprehensive knowledge of managed care. Excellent customer service skills.

Licenses

A.

B.

Special Skills

A.

Basic PC literacy and ability to navigate the Internet. Must demonstrate fast and accurate computer and data entry skills. Must have familiarity using CPT, ICD-9 and HCPCS coding. Good mathematical skills to include ability to apply percentages. Knowledge of health insurance types and terms.

B.

Experience using Epic software system. Must have familiarity using CPT, ICD-9 and HCPCS coding in a facility setting.

Other

A.

Effective communication skills. Must be able to speak, hear, write, and read clearly.

B.

Bilingual (English/Spanish)

WORKING ENVIRONMENT

Office

ID: 2018-19376

External Company URL: www.kelsey-seybold.com

Street: 11511 Shadow Creek Pkwy